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NPI Code Detail

MEDICARE: MADELEINE KOULA MATANGA

MEDICARE:   MADELEINE  KOULA MATANGA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health AideHHA200006310DC

General Provider Information

NPI Number : 1205768322
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADELEINE KOULA MATANGA
Provider Business Mailing Address
First Line : 620 SHERIDAN ST
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20783-3261
Country : US
Telephone Number : 240-478-4015
Fax Number :
Provider Business Practice Location Address
First Line : 620 SHERIDAN ST
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20783-3261
Country : US
Telephone Number : 240-478-4015
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ MADELEINE KOULA MATANGA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.